Are Restylane injections or fat grafting injections better for filling temporal hollows?
Doctor Answers 7
What should I use for my temporal hollows?
Fat is a great option that has the potential to last for several years however it is more difficult to predict how much of the fat will survive and injecting the fat is a bit more invasive. That being said, it is still very reasonable to be able to perform a fat transfer procedure in the office.
Fat or Filler for temporal hollowing
I hope you are well following your craniotomy!
Fillers injections are the way to go for temporal hollowing. As you have inquired, Restylane and Fat are 2 of several fillers I use for this problem. Each comes with its advantages and disadvantages.
Fat is a wonderful biologic replacement for atrophic areas to be filled. It must revascularize in order to survive but the temples provide a very good environment for this to occur. That said, anticipate 50-70% of the fat injected may resorb. Due to the small volumes you will need on several sessions, this may be done under local anesthesia with or without oral or IV sedation.
Injectable fillers include temporary and more permanent, inert or bio-stimulatory molecules.
Restylane is part of a family of temporary fillers called Hyaluronic Acid (HA) gels. Each HA is created with the same molecule but of different lengths and with more or less links. These attributes add to longevity and hydrophilia (water attraction) and projection.
Another filler I might recommend to consider with the evaluation of a talented and skilled, Board Certified Plastic Surgeon or ENT Facial Surgeon is Sculptra. This not so well known bio-stimulatory filler may be used alone or with HA's. Sculptra initiates the body's own response to firm and fill with structural molecules such as hyaluronic acid, elastin and others. It works very well in the temporal hollows but there is a 3 month lag period and the need for multiple sessions.
All fillers including fat have the concern of intravascular injection and vessel occlusion. This is a risk to discuss with your injector(s).
Depending on the amount of hollowing or deformity, implant surgery may be available as well.
I hope this has been helpful! I wish you the best!
Both are options for temporal wasting. Fat grafting is more invasive involving the harvesting and would likely require a trip to the operating room. Restylane can be injected in the office. They both carry similar risks as far as vascular occlusion. In theory fat grafting have the ability to last longer although their durability is frequently questioned. You may also consider Sculptra as it helps to form new collagen in the area with longer last improvement compared to other fillers.
In order to determine what is best for you I'd recommend you consult with a facial plastic surgeon or plastic surgeon. This way you can find out about the surgical option (fat grafting) and the filler option from someone who can offer both.
I hope this helps and good luck.
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Voluma, Restylane, Juvederm, Sculptra would all work well to fill this hollow. Since this is an advanced technique be certain to consult with a board certified dermatologist who is an expert with these facial injections.